IPACHTE#/7-5— 91,09 72 Harnett County Department of Public Health 29200
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LO(ATION:S /Q9'/[TsCiya /Ii)
ISSUED TP /QZ 4� —dfIA06 SUBDIVISION _. LOT # 3 �PS
NEW UK a REPAIR ❑ EXPANSION ❑ Q Site Improvements required prio o Construction Authorization Issuance:
Type of Structure: �SF�
Proposed Wastewater System Ty e: 9%O=ga.�Pc c
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes Ll No ��
Pump Required: ❑Yes El No f� Ma required required based on final location and elevations of facilities
Type of Water Supply: ❑ Community O Public ❑ Well Distance from well feet Permit valid for fR'Ene years
Permit conditions: ❑ No expiration
Authorized State /�^�s� (�/ Date: `� —17, —1-7 SEE ATTACHED SITE SKETCH
The issuance of this permit th ealth Department in no way guarantees The issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoatio dm site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Reouired for Buildinr Permit
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, J956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout. ^ - -
ISSUED TO��®6 PROPERTY LOCATION:
SUBDIVISION LOT #.� y
Facility Type: New Expansion ❑ Repair
Basement? ❑ Yes Ed No Basement Fixtures? ❑ Yes a No
Type of Wastewater System" ;�! � S (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
1 -'45 (Repair)
_
Installation Requirements/Conditions Number of trenches
Septic Tank Size , %� gallons Exact length of each trench J06 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of /9_ inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speribed is different hmm the type spedrved an the app/iranon. / accept the speri6rationr olthis permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to serration if the site pian, plat or the intended use changes. The Contraction Authorization shall not be transferred when there it a change in ownership of the site. This
concoction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment d Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State At Date: L(—/ Z—/
Construction Authorization Expiration Date: `1—17..—zz
HTE# /7= j - q09 72 Permit # Z9 2 d d
Harnett County Department of L' iblic Health
Site Sketch
PROPERTY LOCATON: /c o
ISSUED TO: Za7� 6tk,5 %9/$,W� 6,e�/ SUBDIVISION T5N LOT # 35
Authorized State Agei /��� Date: el—I Z —1-7
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM U
Owner: Applicant: �4l 0p" 33
Address: Date Evaluated: 4- 10 - /'j
Proposed Facility: �� Design Flow (.1949): tie0
Location of Site:��,,`` Property Recorded:
Water Supply: Ry tblic❑ Individual E3 Well
Evaluation Method: to j Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: VScwage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minenflogy
,1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
0-2y
jqr
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948):5
Available Space(. 1945) Evaluated By
System Type(s) Others Present:
Site LTAR